HomeMy WebLinkAboutMINUTES - 01172006 - C.15 a -
TO: BOARD OF SUPERVISORS Contra
FROM: William Walker, MD Costa
Health Services Director o` I;i
DATE: January 4, 2006 °°sraCo�Kf `A County
SUBJECT: Approve New and Recredentialing Providers in
Contra Costa Health Plan's Community Provider Network
I
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Approve the providers listed on the attachment recommended by the Contra Costa Health
Plan's Credentialing Committee at the November 15, 2005 and December 20, 2005 meetings.
BACKGROUND:
The National Committee on Quality Assurance (NCAA) has requested evidence of Board
Approval for each CCHP provider Ibe contained within the provider's credentials file.
The recommendations were made by CCHP's Credentialing Committee.
CONTINUED ON ATTACHMENT: xx_YES SIGNATURE:
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ECOMMENDATION OF COUNTY ADMINISTRATOR _RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
------------------------- --- ------- - ----- -------- ------------------------------------------------- -
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ACTION OF BO DON APPROVE AS RECOMMENDED le O-JAER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
.�� AND CORRECT COPY OF AN ACTION TAKEN
V UNANIMOUS(ABSENTcYI 11 ) AND ENTERED ON THE MINUTES OF THE
I BOARD OF SUPERVISORS ON THE DATE
AYES: NOES: SHOWN.
ABSENT: ABSTAIN:
ATTESTE LZ
CONTACT: Rich Harrison,CCHP CEO JOHN SWEET LERK OF T OARD SUPERVISORS
AND COU T ADMINISTRATOR
CC: William Walker,MD,HSD 1
Denise M.Peebles,MAProvider Affairs Director
595 Center Avenue,Suite 100 BY DEPUTY
Martinez,CA 94553
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Providers Approved by Credentialing Committee
November 15, 2005
CREDENTIALINGIPROVIDERS NOVEMBER 2005
Naive Specialty
Fontenot,Jane-Ann, CNM Midwifery
Price,Paula,PA-C i Women's Health/
Family Planning
Starr,Tara,M.D. Ophthalmology
Swope,Brian,M.D. I Primary Care
Pediatrician
I
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RECREDENTIALING PROVIDERS NOVEMBER 2005
Name Specialty
Dong,Kevin,O.D.1 Optometry
Evans,Robert,Ph. . Mental Health
Services
Fisk,Norman, M.D. Abortion
Services
Gourlay, Stuart, Mi General
Surgery
Hambrick,-Thomas,M.D. OB/GYN
McCurtain,Daniel;D;C. Chiropractic
Mollberg,Richard, DPM Podiatry
Wilson,Reynaldo, IDS General
Dentistr
dbopl-1105
Providers Approved by Credentialing Committee
December 20, 2005
CREDENTIALING PROVIDERS DECEMBER 2005
Name Specialty
Bostick,Laurie,M.D. I Primary Care
Pediatrician
Campbell, Elizabeth,M.D! OB/GYN
Moom,Kyle,M.D. I Primary Care
f Internal Medicine
Quismorio,William,M.D Primary Care
General Practice
I
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RECREDENTIALING PROVIDERS DECEMBER 2005
Name Specialty
Cecchi, Gary, M.D. I Hematology/
Oncology
Doud Robert,M.D. Nephrology
Johnson,Robert,M.D. Ophthalmology
Leon, Ronald,M.D.1 Psychiatry
Mendoza,Julio, DDS General
Dentistry
Milnes;Elizabeth,Psy!D. Mental Health
Services
Padilla,.Jaime,D.C! Chiropractic
Stolarczuk,Margaret,O.D. Optometry
Sundar, Sam,M.D! Primary Care
Internal Medicine
Tuan,David,M.D! OB/GYN
Verne,Allen,M,l). Ophthalmology
c/bop)-1205